CATEGORY 1: ELOPEMENTS (SAFETY & RESPONSE)
What is the first priority when a client attempts to elope?
Ensure all other clients are safe and supervised.
What type of language should always be used in documentation?
Objective, factual language.
What is the purpose of room checks?
Safety, consistency, pattern documentation.
What is the goal of boundaries?
Safety and structure while maintaining connection.
Why is building rapport important in residential care?
It increases trust, comfortability, cooperation, and engagement.
A client says “I’m done” and heads toward the exit. What should staff do first?
Acknowledge emotion and attempt de-escalation.
Why are timestamps critical in documentation?
They establish a clear timeline and accountability.
What should staff do if unsure whether an item is allowed?
Consult a supervisor, do not guess.
Why are power struggles ineffective?
They escalate behavior and reduce connection.
What is one way to build rapport without losing boundaries?
Spending time, playing games, active listening and supportive conversation.
When should staff NOT follow a client off property?
When it creates additional safety risk or violates policy.
What must be included when documenting an incident?
Behavior, time, staff response, who was notified and outcome.
What are two common place contraband is hidden?
Under mattress, drawers, shoes, posters etc.
What is the best response to verbal disrespect?
Stay calm, set a boundary, avoid reacting emotionally. If it persists, ignore.
Why is giving clients choices effective?
It increases their sense of control.
What must always happen immediately after/during an elopement?
Notify leadership/on-call, follow protocol, and submit an IR.
Who should be documented as notified during an incident?
Supervisor/leadership and any required parties.
What is the first step when contraband is found?
Remain calm and secure the item.
What is one phrase that reinforces structure without power struggle?
We can’t allow that, but I can help you find another option.
What is one way to engage a client who is withdrawn?
Check in, offer options, or invite low-pressure interaction.
A client returns after eloping and is escalated. What is the correct first response?
Ensure safety, stay calm, avoid confrontation or punishment, de-escalate.
A staff says, “We talked about it already, no need to document.” What is the risk?
No official record → compliance issues, no behavior pattern documentation, and lack of protection.
A staff member says, “It’s not a big deal, just throw it away.” What is the issue?
Breaks policy, consistency, and documentation requirements.
What does it look like to enforce a rule while remaining therapeutic?
Clear boundary, calm tone, consistency, and respect.
What is the risk of focusing only on rules instead of connection?
Clients disengage and behaviors may increase.